Individual provider Active NPI

Christine Brunette, RN

  • Registered Nurse
  • Portland, ME
National Provider Identifier
1811779457
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN39887 Issued in ME
Practice address
211 Marginal Way
Portland, ME 04101-2467
Phone
(207) 544-9355
Fax
(207) 544-7756
NPI assigned
Oct 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN39887 ME Primary

Addresses

Primary practice location

211 Marginal Way
Portland, ME 04101-2467

Mailing address

360 US Highway 1 Byp Unit 102
Portsmouth, NH 03801-7105
Phone (603) 410-6700

Other practice location 1

545 Hooksett Rd Unit 1
Manchester, NH 03104-2654
Phone (603) 255-4775

Other practice location 2

21 Hampton Rd Bldg 2
Exeter, NH 03833-4831
Phone (603) 519-3092

Other practice location 3

1600 Woodbury Ave
Portsmouth, NH 03801-3250
Phone (603) 602-9070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN39887MEMDRegistered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1811779457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 US HIGHWAY 1 BYP UNIT 102",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017105",
            "telephone_number": "603-410-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 MARGINAL WAY",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012467",
            "telephone_number": "207-544-9355",
            "fax_number": "207-544-7756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "545 Hooksett Rd Unit 1",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031042654",
            "country_code": "US",
            "telephone_number": "603-255-4775",
            "fax_number": "603-255-4776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 Hampton Rd Bldg 2",
            "address_purpose": "LOCATION",
            "city": "Exeter",
            "state": "NH",
            "postal_code": "038334831",
            "country_code": "US",
            "telephone_number": "603-519-3092",
            "fax_number": "603-519-3093",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Woodbury Ave",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "NH",
            "postal_code": "038013250",
            "country_code": "US",
            "telephone_number": "603-602-9070",
            "fax_number": "603-810-6881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNETTE",
        "first_name": "CHRISTINE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-18",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ME",
            "license": "RN39887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.